Which of the following are sensitive indicators of heart function and fluid volume status?

Pulmonary artery, diastolic pressure

None of the above

Both A and B

Pulmonary artery wedge pressure

Answer and Explanation

The Correct Answer is C

A. Pulmonary artery diastolic pressure (PADP) reflects left ventricular end-diastolic pressure and can be used as an indicator of left heart function and fluid status.
B. Not applicable as a standalone choice.
C. Both PADP and pulmonary artery wedge pressure (PAWP) are sensitive and commonly used hemodynamic measurements to assess cardiac function and intravascular volume.
D. Pulmonary artery wedge pressure (PAWP) is a direct reflection of left atrial pressure and is considered a sensitive indicator of left ventricular preload and fluid volume status.

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Correct Answer is C

Explanation

A. Electrical burns are often severe and can cause significant tissue damage, so they are not typically minor.
B. Electrical burns usually cause more than just reddened or purplish skin; blistering and deeper damage are common.
C. Electrical burns often cause extensive damage beneath the skin that is much greater than what is visible on the surface, due to the current traveling through deeper tissues.
D. While true that damage beneath the skin can be extensive, this choice is somewhat redundant and less precise than C, which clearly states the extent of hidden injury.

A. Insert an indwelling urinary catheter. B. Maintain the airway C. Medicate for pain. D. initiate fluid resuscitation.

Correct Answer is B

Explanation

A. Inserting a urinary catheter is important for monitoring output but not the immediate priority.
B. Maintaining the airway is the top priority in burn patients, especially with burns involving the chest and upper body, due to the risk of airway edema and inhalation injury that can rapidly compromise breathing.
C. Pain management is essential but comes after securing airway and circulation.
D. Fluid resuscitation is critical during the resuscitation phase but airway management takes precedence to ensure oxygenation.

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Which of the following are sensitive indicators of heart function and fluid volume status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?

Correct Answer is C

Explanation

A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation of phase of injury?

Correct Answer is B

Explanation

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Which of the following represents the burn percentage for the anterior and posterior of both arms using the Rule of Nines?

A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?

What are the potential consequences of ignoring an alarm on an arterial line monitoring system?

Which of the following is a potential complication of invasive pressure monitoring?

What is the benefit of using an arterial line for titrating IV blood pressure medications?

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?